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Amela Dizdarević-Bostandžić, I. Šurković, Šefkija Balić, Vanja Karlović-Bešlić

Background: Thyroid dysfunction includes hyper- and hypofunction of the thyroid gland (hyperthyroidism and hypothyroidism). The spectrum encompasses both subclinical and clinical disease presentation. The etiology is vast and varied, as are the risk factors and simptoms. Objective: The main aim of the research is to indicate the leading symptom for initial thyroid hormone status evaluation, as well as to identify the distribution of positive and negative test results, and specific disorders according to sex and age groups. Methods: The research is designed as a retrospective, clinical, descriptive study. There were 500 participants included, 355 female and 145 male. Patients were referred to the Department of endocrinology by their primary care physicians. The data was collected through patient documentation. Results: The study included 500 participants, 71% of diagnostic requests made were for women. 80% of subjects had normal thyroid hormone status, p<0.001. Most requests were made for the 41-60 age group, p<0.001. Women had similar number of positive and negative test outcomes, as well as men. When it comes to the age groups, outcomes were similar in all of them, 15-23% positive and 77-85% negative. There were significant differences in the type of symptom expressed in both men and women, as well as all the age groups. Men reported high blood pressure as the most common symptom (30.3%), while women reported weight gain (22.3%). In the 18-25 and 26-40 age groups most common symptom belongs to the category of other. Age group of 41-60 reported weight gain as the most common symptom, while in participants older than 60, high blood pressure is proven to be the most common. Hypothyroidism is the most common disorder in both men and women, as well as in all age groups. Conclusion: It is statistically proven that there were more requests made for women, and older age groups. Leading symptom for initial thyroid hormone status evaluation is high blood pressure. There is no statistically significant difference in distribution of thyroid disorders according to sex or age groups.

Damir Abdulahović, A. Žilić

Background/Aim: Until March 2023, it has been reported over 676 million cases of COVID-19 globally with almost 7 million deaths caused by this disease. Aim of this study was to determine COVID-19-related deaths and to study how COVID-19 pandemic impacted mortality of residents in the Canton of Sarajevo in 2020-2022 time period. Also, aim was to analyse to what extent the number of registered non-COVID-19-related deaths have changed in the Canton of Sarajevo compared to what would have been expected in the absence of the virus to better measure the impact of COVID-19. Methods: This study used mortality data obtained from Federal Institute for Statistics for period 2017-2022. Data was analysed and presented as raw numbers, age-, sex-, cause of death - crude death rates (CDR), excess mortality and P-score. Results: CDR in the Canton of Sarajevo in 2020 was 1246.3 per 100.000 persons, 1488.6 in 2021 and 1153.4 in 2022, while in period from 2017-2019 CDR ranged from 1051.3 to 1057.9. Total CDR in 2020 increased by 18.3 % compared to 2017-2019 average CDR, this relative difference being even greater in 2021 (41.3 %) and lower in 2022 (9.5 %). In 2020-2022 time period, 9 of the 10 leading causes of death remained the same as in 2019. COVID-19 was the 3rd leading cause of death in 2020 and 2022, while in 2021 spiked as the leading cause of death. In 2020 there was increase of 7 % in deaths from non-COVID-19 related deaths compared to mean number of deaths for period 2017-2019. As for 2021, this number goes higher (9.5 %) and in 2022 was much lower (1.0 %). Conclusion: In the Canton of Sarajevo, COVID-19 pandemic made a big impact on mortality in 2020-2022 years period. Data have changed in total mortality, leading causes of death and excess mortality. Deep-rooted organisational weaknesses that were exposed during pandemic that can bring harm to population from preventable chronic diseases needs to be addressed which have impact on morbidity and at the end, on mortality.

Background: The term stress refers to the internal state of the organism (sometimes labeled as "load"), an external event ("stressor"), an experience created by the transaction of a person and the environment. Stress is an extremely used term in all areas of human activity. It is a natural phenomenon and a companion of mankind since its very existence. Although a large number of professional and scientific articles related to the concept of stress and reaction to stress have been published during the last 60 years, various authors state that not all concepts are clearly and unambiguously defined in this field. Objective: The aim of this paper is to present different theories of stress and to familiarize the reader about the consequences of everyday stress on human health. Methods: The subject of research is stress and its impact on health in today's modern world. The type of research on this topic is based on a retrospective and descriptive method based on the use of published articles in the PubMed and Scopus index databases. Results and Discussion: Therefore, different theories of stress define differently the concept of stress, reactions to stress, coping with stress and the consequences of a stressful event. Studies on stress was started by Hans Selye in the thirties of the 20th century. Understanding stress as the organism's reaction to various physical and physiological stressors, Selye also became the originator of the first, so-called of the reductionist model in the study of stress. Another theoretical approach in the concepts of stress boils down to the explanation that stress is determined by the nature of the stressor. This paradigm has been offered since the late sixties of the 20th century and is called the interactionist model of stress. At the same time as the interactionist model, a third, transactional model in the study of stress appeared, created by Richard Lazarus. According to this model, the consequences of a stressful transaction are the result of the interplay of personal and external factors that continuously affect each other. Conclusion: The stress is a state in which the psychophysical balance of the organism is disturbed and which, in order to adapt, requires additional efforts. Circumstances that cause stress are also called stressors. Among the psychological changes characteristic of stress, the most pronounced are changes in the sphere of emotional processes. Emotional reactions characteristic of stress are most often anxiety, anger and sadness, and shame, guilt, oversaturation can also occur. After a traumatic or other intense stress (related to losses or diagnosed with an incurable disease), emotional flattening can occur. Changes in psychological functioning during stress can be so intense that they take on the dimensions of a psychological crisis.

Skin sensitization is a crucial endpoint in the safety assessment of chemicals, with the Direct Peptide Reactivity Assay (DPRA) emerging as a valuable in chemico method for evaluating a substance's sensitization potential. This review delves into the principles, applicability, and limitations of the DPRA within the context of the Adverse Outcome Pathway (AOP) framework for skin sensitization. We examine the DPRA'srole in addressing the molecular initiating event of skin sensitization, its integration into Integrated Approaches to Testing and Assessment (IATA), and its performance in predicting sensitizers. The review also highlights the challenges in testing certain categories of chemicals and the importance of considering the DPRA's results alongside other complementary methods. By providing a comprehensive overview of the DPRA, this review aims to inform researchers, regulators, and clinicians about its utility and limitations in the context of skin sensitization testing.

E. Karahmet, S. Isaković, Almir Toroman, E. Becic, Zoran Marković

Consumption of fish has increased in last 50 years. Fish as a food is changing red meat because it has unsaturated fat and it is the best source of omega 3 fatty acids. Beside it is full of minerals, vitamins and it has high biological value of proteins.The content of heavy metals in the muscle tissue of fish is directly related to the pollution of the water they come from The analysis of the content of heavy metals was done by the Institute of Public Health of the Federation of Bosnia and Herzegovina.The content of lead (Pb) in the tested samples of fresh fish ranged from 0.0015 to 0.0381 mg/kg. The measured content of cadmium (Cd) in the examined samples was in the range of 3.3*10-5 to 0.0053 mg/kg. The content of arsenic (As) in the tested samples ranged from 0.0085 to 1.1668 mg/kg. The mercury (Hg) content in the tested samples of fresh fish ranged from 0.0033 to 0.0991 mg/kg, which is within the allowed values prescribed by the Rulebook. It has been statistically proven that there is a significant difference in the measured values of lead, arsenic and cadmium in the samples of sea and freshwater fish. Aim of this work was to establish do the samples of fresh fish contain concentration of heavy metals more than concentrations prescribed in Rule book about allowed amounts of certain contaminants in food. Thereby ten samples of fresh fish were tested, five samples of marine fish and five samples of freshwater fish. Results showed that all samples of fish satisfy allowed concentration of heavy metals according to the Rule book.

We use the Kolmogorov-Arnold-Moser (KAM) theory to investigate the stability of solutions of a system of difference equations, a certain class of a generalized May's host-parasitoid model. We show the existence of the extinction, interior, and boundary equilibrium points and examine their stability. When the rate of increase of hosts is less than one, the zero equilibrium is globally asymptotically stable, which means that both populations are extinct. We thoroughly describe the dynamics of 1:1 non-isolated resonance fixed points and have used the KAM theory to determine the stability of interior equilibrium point. Also, we have conducted several numerical simulations to support our findings by using the software package Mathematica.

The concept of usufruct as an independent right, ius in re aliena, was not questioned in Justinian’s sources, while on the other hand, its systematisation, development, and legal nature in analyses of classical law were the subject of serious debates among Romance experts, mainly in Italian Romance studies from the beginning of the 20th century. Some experts in Romance studies understood usufruct as pars dominii, i.e. part of the property right that the owner retains for himself, thereby denying him the position of a special right. Such a concept originates from the glossator and post-glossator schools and, the paper analyses strong reflections of their teaching on contemporary legal doctrine. The paper deals with the concept and definition of usufruct and conducts analysis into the legal sources and reasons that led to differences in the understanding of the legal nature of the institute in the Roman legal tradition.

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